Organization
CARDIOVASCULAR MEDICINE OF SLIDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GREGORY HICKEY MD, FACC (OWNER)
(504) 250-6978
Entity
Organization
Contact information
Practice address
2965 GAUSE BLVD E, STE A, SLIDELL, LA 70461-4154
(985) 503-7853
(985) 263-1771
Mailing address
2965 GAUSE BLVD E, STE A, SLIDELL, LA 70461-4154
(985) 503-7853
(985) 263-1771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
05/06/2024
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